MattNurse

MattNurse MSN, RN

med-tele/ER

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About MattNurse

MattNurse has 39 years experience as a MSN, RN and specializes in med-tele/ER.


Latest Activity

  1. RN forging doc's signature

    Actually you probably need to report that to the compliance officer at your hospital. It is a big no-no and if you are aware of fraud then you should call the compliance line. You probably have an...
  2. Lessons on why not to "Assume" things.

    Just curious what her ABG looked like. Must be horrid as
  3. Lessons on why not to "Assume" things.

    If that were my family member I would be grateful to the
  4. Help with fluids/electrolytes.

    Any normal saline solution with an added ingredient makes it hypertonic. I said technically because of the way it works in the body but that does not change the osmolarity and osmolality of any given...
  5. Help with fluids/electrolytes.

    dextrose is metabolized so technically NS with anything added is hypertonic, the fact that dextrose gets metabolized really makes it an isotonic solution in the
  6. Nursing diagnosis help

    I would be more concerned if I had a diabetic patient on insulin around 70, less concerned with a sugar of 172, I would still cover the sugar at meal time. Even though 70 falls in the ideal range for...
  7. Nursing diagnosis help

    Were any of those medications new to the
  8. Nursing diagnosis help

    If this were real life you would focus on the reason for admission. The patient is not left in acute chest pain but still needs interventions to prevent the chest pain from recurring. The nurses are...
  9. Nursing diagnosis help

    That blood sugar for a diabetic non-fasting is rather normal and probably won't lead to much pathology. I would go with something related to his chest pain/SOB as the nursing diagnosis, all the other...
  10. I tell patients I am eating a special diet and leave it at
  11. Help! I don't "get" vents!!!

  12. Peer Evaluations- Venting

    I wouldn't want a peer review. And if it is optional I would think you would be able to opt out. My hospital doesn't do peer review. I wouldn't know what other people do on my shift. I wish I was...
  13. I don't get
  14. Can visitors be 'forced' to wear PPE?

    Yes you can force for certain instances, the instance that comes to mind is neutropenic patients, I make them put on a mask when they are sick and wash their hands before entering the room. We have...
  15. Boy, did I mess up :(

    Nurses make med errors and don't lose their jobs. If you lost your job over this then the hospital must have a high turnover